Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep 27:9:652202.
doi: 10.3389/fpubh.2021.652202. eCollection 2021.

Exploration of Fatalism and Religiosity by Gender and Varying Levels of Engagement Among Mexican-American Adults of a Type 2 Diabetes Management Program

Cindy Lynn Salazar-Collier  1 , Belinda M Reininger  2 , Anna V Wilkinson  3 , Steven H Kelder  3
Affiliations

Exploration of Fatalism and Religiosity by Gender and Varying Levels of Engagement Among Mexican-American Adults of a Type 2 Diabetes Management Program

Cindy Lynn Salazar-Collier et al. Front Public Health. .

Abstract

Objectives: Purpose of study is to explore the roles religiosity and fatalistic beliefs play in diabetes management among newly, currently, and long-term enrolled Mexican-American participants in a Type 2 diabetes mellitus (T2DM) chronic care management program. Methods: In 2017, study participants (n = 15) completed a semi-structured interview in their preferred language (English or Spanish). Sample was stratified by amount of time individual had been enrolled as a participant of the Salud y Vida program: newly, currently, or long-term. Interviews assessed religious beliefs, beliefs concerning the cause(s) of diabetes, perceived relationship between religiosity and fatalistic beliefs with T2DM management, and the appropriateness of discussing such topics with a health professional. Interview responses were analyzed using ATLAS.ti 8. Results: Themes identified included: perceived autonomy over diabetes prognosis, motivators for self-care, discussions of personal beliefs in the healthcare setting, and the church's role in diabetes management. Conclusions: Among this sample, religiosity and religious fatalism played a complex role in coping with and managing diabetes. Long-term enrolled and male participants expressed beliefs of divine control over health, and a connection between religiosity and health behavior. Long-term enrolled participants felt religious and fatalistic beliefs may be suitable and beneficial to discuss in the healthcare setting.

Keywords: Diabetes management; Fatalism; Hispanic health; Mexican-American border region; Religiosity.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Theme network by level of engagement.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Centers for Disease Control and Prevention . National Diabetes Fact Sheet: National Estimates and General Information on Diabetes and PrediabetesiIn the United States, 2011. Atlanta: US. Department of Health and Human Services, Centers for Disease Control and Prevention; (2011). p. 1–2.
    1. Schneiderman N, Llabre M, Cowie C, Barnhart J, Carnethon M, Gall LC, et al. . Prevalence of diabetes among hispanics/latinos from diverse backgrounds: the hispanic community health study/study of latinos (HCHS/SOL). Diabetes Care. (2014) 37:2233–9. 10.2337/dc13-2939 - DOI - PMC - PubMed
    1. Kaiser Family Foundation . Health Coverage for the Hispanic Population Today and Under the Affordable Care Act. (2013). Available online at: https://kaiserfamilyfoundation.files.wordpress.com/2013/04/84321.pdf (accessed September 07, 2021).
    1. Lopez J, Bailey R, Rupnow M, Annunziata K. Characterization of type 2 diabetes mellitus burden by age and ethnic groups based on a nationwide survey. Clin Ther. (2014) 36:494–506. 10.1016/j.clinthera.2013.12.016 - DOI - PubMed
    1. Wilkinson A, Whitehead L, Ritchie L. Factors influencing the ability to self-manage diabetes for adults living with Type 1 or 2 diabetes. Int J Nurs Stud. (2014) 51:111–22. 10.1016/j.ijnurstu.2013.01.006 - DOI - PubMed